Clinical implications of the implementation of a new automated peritoneal dialysis remote patient management system with cloud-based

Valérie Jotterand-Drepper

doi:10.25796/bdd.v1i3.66

Abstract

In the last decades, remote patient management (RPM) has been of growing interest in medical fields. In this article we describe the clinical implications of the implementation of a newly available automated peritoneal dialysis (APD) RPM system with cloud-based connectivity. This system provides data sent from the cycler about the course of the peritoneal dialysis (PD) therapy, offering the medical team the opportunity to analyse them on an everyday basis and subsequently remotely alter PD prescription.The main advantages discussed here are sparing of long or difficult travels, especially for patients with social, geographical or physical limitations, early identification and management of occurring issues such as catheter dysfunction or non-adherence to prescribed PD therapy, a potential clue to an imminent peritonitis, and finally a more personalized APD prescription. Further impacts of the implementation of RPM in peritoneal dialysis on patients outcomes, health costs and its potential influence on a greater take-on rate of the technique have still to be evaluated

Highlights

In the last decades, remote patient management (RPM) has been of growing interest in medical fields
In this article we describe the clinical implications of the implementation of a newly available automated peritoneal dialysis (APD) RPM system with cloud-based connectivity
This system provides data sent from the cycler about the course of the peritoneal dialysis (PD) therapy, offering the medical team the opportunity to analyse them on an everyday basis and subsequently remotely alter PD prescription.The main advantages discussed here are sparing of long or difficult travels, especially for patients with social, geographical or physical limitations, early identification and management of occurring issues such as catheter dysfunction or nonadherence to prescribed PD therapy, a potential clue to an imminent peritonitis, and a more personalized APD prescription

Summary

Introduction

Remote patient management (RPM) has been of growing interest in medical fields. Cette plateforme permet un rapatriement quotidien des données relatives au déroulement de la thérapie de dialyse péritonéale à domicile, grâce auquel l’équipe soignanteest à même d’identifier rapidement la survenue d’évènements indésirables et de modifier en fonction les données de prescription ; ces dernières sont ensuite transmises directement au cycler du patient, sans que celui-ci n’ait à se déplacer, ce qui représente un avantage majeur pour des populations spécifiques de patients tels ceux à mobilité réduite ou habitant dans des régions reculées ou d’accès difficile.

Results

Conclusion